Workshop/Outreach Booking Form
Contact *
(First Name, Last Name)
Your answer
School/Organization
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Email Address *
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Phone Number
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Your Location
(Address, City)
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Type of Workshop/Outreach
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Date Request
MM
/
DD
/
YYYY
Time
:
Is your date/time flexible?
Expected Workshop Duration
Hrs
:
Min
:
Sec
Number of Participants
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Age of Participants
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Please describe the group
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Are there any specific topics or issues you would like covered?
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Other information for LOVE BC
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How did you hear about us?
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